Individual
MR. SCOTT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
13401 MISSION RD STE 216, LEAWOOD, KS 66209-3313
(913) 340-4494
Mailing address
13401 MISSION RD STE 216, LEAWOOD, KS 66209-3313
(913) 340-4494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04868
KS
Other
Enumeration date
10/29/2024
Last updated
10/30/2024
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